《患者保护与平价医疗法案》(ACA)标题及各章主要内容Word格式文档下载.doc

1、强调在现有的基础上进行改革,强调政策的连续性,而不是彻底否定过去,一切推倒重来。因此,对于那些喜欢目前的医疗保险的人们,尽可以继续保留他们目前的医疗保险,法案不会强迫这些人改变他们自己的选择。对于那些目前没有医疗保险的人们,可以在公共的、竞争的医疗保险市场上选择适合自己的医疗保险。医疗保险交易中心的设立,使一个个单独的个体联合在一起,从而拥有强大的议价能力,医疗保险公司失去了以前的垄断地位,今后只能凭质量和价格进行竞争。小型企业雇主为员工购买医疗保险,不仅可以在交易中心享受到优惠的保险费用,而且将享受到政府给予的税收优惠政策。该部法案要求医疗保险公司制定清新的运营规则,杜绝权力滥用现象。禁止保

2、险公司将患病人士排除在医疗保险范围之外。中文标题 英文标题第一章为美国人民提供高质量、可承受的医 THIE 1 QUALITY, AFFORDABLE HEALTH疗卫生服务 CARE FOR AMERICANS第一节立即提高美国人民的医疗保险覆盖 Subtitle A Immediate Improvements in率 Health Care Coverage for All Americans1001条款对公共卫生服务法案的修订 Sec. 1001. Amendments to the Public HealthService Act.1002条款医疗保险中的消费者信息 Sec. 100

3、2. Health insurance consumer information.1003条款确保消费者物有所值 Sec. 1003. Ensuring that consumers get value for their dollars.1004条款生效日期 Sec. 1004. Effectives dates.第二节立即采取行动保持和扩大医疗保险 Subtitle BImmediate Actions to Preserve覆盖率 and Expand Coverage.1101 条款使患有疾病、没有保险的人士立 Sec. 1101. Immediate access to insura

4、nce for即可以获得保险 iminsured individuals with a preexisting conditions.1102 条款对提前退休人员的再保险 Sec. 1102. Reinsurance for early retirees.1103条款立即为消费者提供有关信息,使 Sec. 1103. Immediate information that allows其能选择可承受的保险方案 consumers to identify affordable coverage options.1104条款简化管理程序 Sec. 1104.Administrative simpli

5、fication.1105条款生效日期 Sec. 1105. Effective date.第三节为美国人民提供高质量的医疗保险 Subtitle CQuality Health Insurance Coverage for All Americans第一小节医疗保险市场改革 PART I Health Insurance Market Reforms1201条款对公共卫生服务法案的修订 Sec. 1201. Amendment to the Public Health第二小节其他条款 PART II Other Provision1251条款保留现有医疗服务方案的权利 Sec. 1251.

6、Preservation of right to maintain existing coverage1252条款比率改革必须对所有医疗保险公Sec. I252. Rating reforms must apply uniformly司以及团体医疗保险方案一视同仁 to all health insurance issuers and group health plans1253 条款生效日期 Sec. 1253. Effectives dates.第四节可供美国人民选择的医疗保险方案 Subtitle D-Available Coverage Choices for All American

7、s第一小节设立符合要求的医疗保险方案 PART I Establishment of Quality Health Plans1301条款符合要求的医疗保险方案的定义 Sec. 1301. Quality health plan defined.1302条款需要满足的基本医疗卫生要求 Sec. 1302. Essential health benefits requirements.1303条款特殊规则 Sec. 1303. Special health benefits requirement.1304条款相关定义 Sec. 1304. Related definitions第二小节在医疗保

8、险交易中心的消费PART Consumer Choices and InsuranceCompetition Through Health Benefit Exchanges1311条款可承受的医疗保险方案 Sec. 1311. Affordable choices of health benefit plans.1312条款消费者的选择 Sec. 1312. Consumer choice.1313条款资金合理 Sec.1313. Financial integrity.第三小节州政府可灵活处理医疗保险交易PART III State Flexibility Relating to Exch

9、anges中心相关事宜1321条款州政府可灵活处理医疗保险交易 Sec. 1321. State flexibility in operation and中心的运作 enforcement of Exchanges and related requirements.1322条款联邦政府资助设立并运行非营利 Sec. 1322. Federal program to assist的、会员制的医疗保险公司1323条款社区医疗保陸方案 Sec. 1323. Community health insurance1324条款公平性 Sec. 1324. Level playing field.第四小节州

10、政府可灵活设立其他替代方案 PART IVState Flexibility to Establish Alterative Programs1331条款州政府可为不符合医疗救助计划 Sec. 1331. State flexibility to establish basic的低收入人士设立基本医疗保险方案 health programs for low-income individual noteligible for Medicaid.1332 条款关于州政府创新的豁免 Sec. 1332. Waiver for State innovation.1333条款关于在不止一个州销售保险方案

11、 Sec. 1333. Provision relating to offering of的规定 plans in more than one state.第五小节再保险和风险调整 PART VReinsurance and Risk Adjustment1341条款在个人和小团体保险市场的过渡Sec 1341. Transitional reinsurance program for性再保险项目 individual and small group markets in each state.1342条款在个人和小团体保险市场设立风Sec. 1342. Establishment of ri

12、sk corridors for险通道 plans in individual and small group markets.1343 条款风险调整 Sec. 1343. Risk adjustment.第五节美国人民能承受的医疗保险 Subtitle EAffordable Coverage Choices forAmericans.第一小节保险费用的税收扣除与分担费用 PART Premium Tax Credits and Cost-sharing的减低 Reductions第一小小节保险费用的税收扣除与分担费 Subtitle a Premium tax credits and cost-sharing用的减低 reductions1401条款对符合条件的医疗保险申请人的 Sec.1401. Refundable tax providing premium保险费用给予课退费的纳税扣除 assistance for coverage